YOBE STATE MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Situation Report SERIAL NUMBER 07 EPID-WEEK 19 DATE 6 May 2020

HIGHLIGHTS:  No new confirmed case(s) reported today  The total number of confirmed COVID-19 cases remains thirteen (13); eleven cases from Damaturu LGA and two (2) cases from Bade LGA.  Twelve (12) confirmed cases are on admission in State Specialist Hospital (SSH) Damaturu isolation center, and all are in stable condition -and improving.  The total number of samples collected so far is 30. Of these, 13 returned positive, 6 are negative and the result of 11 samples is being awaited.  Surveillance and epidemiology team are conducting rumor investigation in Bade, Nguru, Potiskum, and other high-risk LGAs. As of today, a total of 59 rumors are being investigated.

EPIDEMIOLOGICAL SUMMARY:  No new confirmed case(s) reported today  The total number of confirmed COVID-19 cases remains thirteen (13); eleven cases from Damaturu LGA and two (2) cases from Bade LGA.  Nine (9) alerts have been received and investigated  The total number of samples collected so far is 30. Of these, 13 returned positive, 6 are negative and the result of 11 samples is being awaited.

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Table 1: Summary of Case(s) Cumulative New Cases Total epi-week 19 S/No. (1 Jan-6 May (Daily) (Monday-Sunday) Description 2020) 1 Suspected case(s) 2 9 32 2 Lab-confirmed positive case(s) 0 0 13 Lab-confirmed positive cases amongst 3 health care worker(s) 0 0 0 4 Probable case(s) 0 0 0 5 Rumor under investigation 9 10 59 Number of the confirmed case(s) on 6 admission 0 0 12 7 Number of confirmed case(s) discharged 0 0 0 8 Number of death in confirmed case(s) 0 0 1 Number of death amongst health care 9 workers 0 0 0 10 Number of death in suspected cases 0 0 0

Table 2: Summary of Contact(s) New Cumulative Total epi-week 19 S/No. Cases (1 Jan-6-May (Monday-Sunday) Description (Daily) 2020) 1 Contact listed 21 51 133 2 Contact seen 40 40 113 3 Contact currently under follow-up 40 40 113 4 Symptomatic contacts(s) 0 2 3 5 Contact confirmed positive 0 0 6 Contact(s) who completed 14 days follow- 6 up 0 0 0 7 Contact(s) lost to follow up 0 0 0

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Figure 1: Risk Mapping of Yobe LGAs

Figure 1: Map of Yobe State Showing Number of COVID-19 Cases Reported by LGA.

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Table 3: Summary of Laboratory Result(s) New Total epi-week 19 Cumulative S/No. Cases (Monday- (1 Jan-4 Description (Daily) Sunday) May 2020) 1 Number of specimens collected 7 7 30 2 Number of specimens tested negative 0 0 6 3 Number of specimens confirmed positive 0 0 13 4 Number of pending laboratory samples 0 0 11

THEMATIC INTERVENTIONS Coordination:  Engaged LGA PHC directors to coordinate planning and scaling-up of contact tracing, rumors, and alert investigation as well as resource mobilization for contact tracing teams  Conducting daily COVID-19 response coordination meetings with multi-sectoral stakeholders in the state and 12 high-risk LGAs  Conducted meeting to strengthen synergy and collaboration between thematic pillars, and between state RRT with STF sub-committees on daily planning and implementation of activities

Surveillance and Epidemiology:  Conducted contact tracing and line-listed twenty-one (21) new contacts of confirmed cases  Conducted active case search in across all LGAs in collaboration with the LGA RRT teams  Investigated nine (9) new alerts in high-risk LGAs: Bade and Potiskum reported today  Continued monitoring of contacts in self-isolation.

Point of Entry (POE):  Conducted screening and initial assessment of 13 Almajiris at the POE deported from Nassarawa to Yobe state  Conducted supportive supervision and monitoring of screening exercise at POE in Nguru, Fika, and Damaturu LGAs  Conducted meetings with Fika and Gadaka community leaders to maintain vigilance and report violating vehicles traversing interstate borders through their communities  Conducted meeting with Area Commander, Nigeria Police Force in Potiskum to strengthen enforcement of interstate border closure at the POE.

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Case Management:  No new confirmed case(s) of COVID-19 reported in Yobe today  Completed training of 30 isolation center clinicians- doctors and nurses in General Hospital (GH) Potiskum  Twelve (12) confirmed cases on admission in State Specialist Hospital (SSH) Damaturu isolation center. All twelve (12) patients are in stable condition

Infection Prevention and Control (IPC):  Supported capacity building for 30 HCWs in GH Potiskum isolation center on case management, IPC –including rational and proper use of PPEs  Distributed additional IPC commodities for use in GH Potiskum and GH Gashua, Bade LGA  Providing technical support to LGA RRT and IPC teams to scale-up contact tracing and disinfection of confirmed or suspected households. Laboratory and Diagnostic Support:  The total sample collected so far is 30; of these, 13 returned positive, 6 are negative and the result of 11 samples is being awaited  Conducted case investigation in collaboration with the Surveillance team

Risk Communication and Social Mobilization:  Planned phone-in program with the Honorable Commissioner for Health in Yobe Broadcasting Corporation (YBC) to sensitize the public on COVID-19 prevention and controls measures  Supported airing of radio jingles, and public sensitization by the community and religious leaders during prayer sermons  Continued house-to-house sensitization activities by Volunteer Community Mobilizers (VCMs) in Damaturu, Potiskum, and Bade LGAs  Distributed additional COVID-19 case definitions to community informants in Damaturu, Potiskum, and Bade LGA to scale-up active case search and risk communication.

Logistics and Operational Support:  Mobilized and deployed 2 vehicles to boost COVID-19 logistics and operational support  Received donation of COVID-19 supplies from the Victims Support Funds (VSF)  The team developed a distribution list for COVID-19 commodities to LGAs, secondary facilities and isolation center  Developed tools for monitoring and utilization of supplies to support planning and decision making  Engaging SMOH to mobilize additional financial resources to support warehouse operations.

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NEXT STEP(S): • Continue active case search and contact tracing • Continue close monitoring of identified contacts • Distribute COVID-19 response commodities to LGAs and health facilities • Develop an inventory of available (procured and donated) medicines for COVID-19 response, and share with the case management team • Continue resource mobilization and community sensitization on COVID-19 prevention and control.

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